Active NPI
Traci Harris
- Clinical Social Worker
- Randallstown, MD
National Provider Identifier
1598203549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15095
- Practice address
- 9633 Liberty Rd. (Suites H&J)
Randallstown, MD 21133 - Phone
- (646) 267-5797
- NPI assigned
- Feb 9, 2017
- Last updated
- Feb 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15095 | MD | Primary |
Addresses
Primary practice location
9633 Liberty Rd. (Suites H&J)
Randallstown, MD 21133
Mailing address
3509 Seapines Cir
Randallstown, MD 21133-2447
Phone (646) 267-5797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15095 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cynthia Voelz | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1598203549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3509 SEAPINES CIR",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211332447",
"telephone_number": "646-267-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9633 LIBERTY RD. (SUITES H&J)",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "21133",
"telephone_number": "646-267-5797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "TRACI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-09",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "15095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randallstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.